SUDBURY OFFICE
1545 Maley Drive
Sudbury ON, P3A 4R7
TIMMINS OFFICE
395 Thériault Blvd.
Timmins ON, P4N 0A7
Worker Registration Form
To register for training and reserve a seat, please complete this form and fax it to NORCAT at 705-670-2193 or e-mail to [email protected] at least 2 days prior to the chosen
session date. For training at our Timmins location, please e-mail this form to [email protected]. Reservations are subject to availability.
NORCAT No. (if available): _
_____
Birth date (M/D/Y): _ _ / _ _ / _ _ _
Last Name: _______________________ Trade:_________________________
First Name: ________________________ ______________________ _______________________ Company Name:
__
Company Contact:
_Home Phone #: (_ _ _) - _ _ _ - _ _ _ _
(_ _ _) - _ _ _ - _ _ _ _ ______________________________
Company Phone:
Training Requested (check all that apply)
Company Email:
 Requesting
Username and Password

CGS EHS Rules – Contractor is Constructor

Occupational Health and Safety for Workers

U0012 Lock Out & Tag Out ***

CGS EHS Rules – Service Contracts

Occupational Health and Safety for Supervisors

Vale General Orientation - Tier 1

Confined Space Awareness

Respirator Fit Test (client MUST be clean shaven)

Vale ZES001 - Core Module

Confined Space Entry (Ontario)

Sudbury INO Truck Driver Indoc. - SM (Smelter) **

Vale ZES003.2 - Mobile Equipment Tagging

DeBeers Orientation

Sudbury INO Truck Driver Indoc. - NR (Nickel Rim) **

Vale ZES003.3 - Designated Tagger

Detour Gold Process Plant Safety Orientation

Sudbury INO Truck Driver Indoc. - ST (Strathcona) **

Vale ZES003R - Review

Eye Fit Testing

Tahoe Canada Underground Orientation

Vale ZES004 - Supervisor

Fall Protection Awareness

Tahoe Canada Surface Induction

Vale ZES - Full Program ****

General Orientation

Transportation of Dangerous Goods - for Drivers

Working at Heights (8:00am start) *****

High Pressure Washing (w/ practical) *

Transportation of Dangerous Goods - for Shippers

WHMIS

Industrial Vacuum Equipment (w/ practical) *

Underground Orientation

Other: ________________________________

Lock Out / Tag Out

Underground Practical (Available Tues. & Thurs. only)
* Theory is completed at NORCAT, practical is completed at BM Metals. ** Choose the appropriate location for your site visit *** NORCAT will contact for practical.
**** This program runs between 8am and 1pm. Call to book desired time. ***** There is a non-attendance fee of $50.00 + HST. Cancellations must be made at least 24 hours ahead of scheduled class.
Desired Date
Method of Payment
Theory Date (M/D/Y): _ _ / _ _ / _ _ _
_
Practical, if required (M/D/Y): _ _ / _ _ / _ _ _ _
 Cheque *
Time: * Personal cheques not accepted
 8:00am 11:00am  1:00pm
Location:  Sudbury
 Debit
WHMIS Prerequisite
 Cash
 PO _______________________________________
 Timmins
 American Express
 MasterCard
 VISA_
Card Holder: _________________________________
Card #: _
___ ____ ____ ____
Expiry Date:
__/___ _
 As clients are required to have WHMIS dated
within a year as a prerequisite for the NORCAT
Pass, I authorize NORCAT to perform WHMIS training if required and bill it to the
above payment method.
Initials: ______________________
(Please call us at 705-521-8324 x 401 if you have
any questions about the WHMIS prerequisite for the
NORCAT Pass.)
IMPORTANT! Please note the following:
• Please bring proof of WHMIS (Dated within 1 year) at the time of training as it is a prerequisite for the NORCAT Pass.
• Program U770010 or U770225 (Common Core) and the General Orientation Pass are prerequisites for the Underground Orientation Pass.
Please be prepared to show proof of the Common Core (MTCU Transcript) prior to training.
• Validation testing is done between 8am and 3pm, Monday to Friday.
• If required to send external documentation such as MTCU records, WHMIS or Fit Tests, please send to [email protected]